PayPredict Rates in effect today:Today: 2026 Medicare PFS · RVU26D

San Jose Outpatient MD

Quick price Edit

Locality: San Jose Sunnyvale Santa Clara (Santa Clara Cnty), CA (01112-09); GPCI work 1.11 · PE 1.442 · MP 0.397
Setting · provider: Office (non-facility) rates; Physician
Payer: Traditional Medicare at 100% of Medicare; Standard conversion factor
Date of service · fee schedule: Today; 2026 Medicare PFS · RVU26D, CF $33.4009

Packages in this scenario

Package	Fee schedule	Rules	Allowed	Medicare pays	Patient owes	Before billing
2-Limb EMG 5+ musc with 13+ NCS Ready	$655.75	—	$655.75 Medicare $514.11	$514.11	$131.15	Ready
Angiogram 2 items to resolve 2 lines paid $0	$12,830.32	−$12,830.32	$0.00 Medicare $0.00	$0.00	$0.00	2 items to resolve 2 lines paid $0
Bilateral Wada Test 4 items to resolve 4 lines paid $0	$13,523.90	−$13,216.60	$307.30 Medicare $240.92	$240.92	$61.46	4 items to resolve 4 lines paid $0
Extracranail Embolization 3 items to resolve 3 lines paid $0	$25,955.58	−$8,667.86	$17,287.72 Medicare $13,553.58	$13,553.58	$3,457.54	3 items to resolve 3 lines paid $0
Fluoroscopy guided lumbar puncture w/ Sedation Ready	$430.64	—	$430.64 Medicare $337.62	$337.62	$86.13	Ready
Foundational NIR (Dx Angio) 2 items to resolve 2 lines paid $0	$12,830.32	−$12,830.32	$0.00 Medicare $0.00	$0.00	$0.00	2 items to resolve 2 lines paid $0
Initial Consultation Appointment Ready	$218.54	—	$218.54 Medicare $171.33	$171.33	$43.71	Ready
Intracranial Embolization 3 items to resolve 3 lines paid $0	$13,292.59	−$7,575.18	$5,717.41 Medicare $4,482.45	$4,482.45	$1,143.48	3 items to resolve 3 lines paid $0
Temp Package 2 items to resolve 2 lines paid $0	$5,880.89	−$5,103.61	$777.28 Medicare $609.38	$609.38	$155.46	2 items to resolve 2 lines paid $0
Temp package (2026) 3 items to resolve 3 lines paid $0	$12,662.08	−$11,869.32	$792.76 Medicare $621.53	$621.53	$158.55	3 items to resolve 3 lines paid $0
Unilateral ECA Embo 1 item to resolve 2 lines paid $0	$14,806.58	−$1,075.59	$13,730.99 Medicare $10,765.09	$10,765.09	$2,746.20	1 item to resolve 2 lines paid $0
Unilateral Wada Test 1 item to resolve 1 line paid $0	$7,214.75	−$1,651.47	$5,563.28 Medicare $4,361.61	$4,361.61	$1,112.66	1 item to resolve 1 line paid $0
Venous sinus stenosis diagnostic 4 items to resolve 5 lines paid $0	$18,399.46	−$16,132.05	$2,267.41 Medicare $1,777.65	$1,777.65	$453.48	4 items to resolve 5 lines paid $0

Priced with 2026 Medicare PFS · RVU26D. "Rules" is what multiple-procedure reductions, NCCI edits, modifiers and the payer rate changed from the full fee schedule.